Eligio S Degamo, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

ME 107654 Issued in FL

Practice address

1403 Medical Plaza Dr
Suites 108/109
Sanford, FL 32771-1000

Phone

(407) 330-6500

Fax

(407) 343-1650

NPI assigned

Jan 26, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dr. Eligio S Degamo Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 25, 2017 through Jan 25, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Active Pain and Injury Inc

  • Pain Medicine Physician
  • Sanford, FL
  • NPI 1427340975
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452384000000",
    "number": "1487700233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 NORTHAMPTON AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328287904",
            "telephone_number": "407-281-4723",
            "fax_number": "407-281-4723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 MEDICAL PLAZA DR",
            "address_2": "SUITES 108/109",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327711000",
            "telephone_number": "407-330-6500",
            "fax_number": "407-343-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGAMO",
        "first_name": "ELIGIO",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2016-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME 107654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIGIO",
            "last_name": "DEGAMO",
            "middle_name": "S",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Andrea D. Dawkins, MA CAP ICADC NCACIP
• Chloe Erika De Jesus, LCSW
• Anthony Deamara, PT
• Kaylyn Debose
• Lynn Deer, LM
• Tabitha Ann Delay-Grossnickle, LMFT
• Javier Delgado
• Matthew Charles Demetree, DC
• Randall W Denmark Jr., PHARMD
• Dentists of Sanford PA

• Anesthesiology Physician in Sanford, FL
• Providers in Sanford, FL by specialty
• Anesthesiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.